Evidence map›Paper›PMID 33161523›Full record

Trial reportTechniques in coloproctology2021

Prophylactic negative-pressure wound therapy after ileostomy reversal for the prevention of wound healing complications in colorectal cancer patients: a randomized controlled trial.

M Wierdak, M Pisarska-Adamczyk, M Wysocki, P Major, K Kołodziejska, M Nowakowski, T Vongsurbchart, M Pędziwiatr

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Techniques in coloproctology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04088162 (The Use of Post-operative Negative Pressure Wound Therapy), which is not on this map. Cited by 27 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 5 pooled it
3.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04088162 nacompletednot on this map

The Use of Post-operative Negative Pressure Wound Therapy (NPWT) Dressing in the Prevention of Wound Healing Problems and Infectious Complications After Ostomy Reversal Surgery.

TypeinterventionalSponsorMichał PędziwiatrRan2016 to 2021Enrolled70ConditionsStoma Ileostomy, Surgical Wound, Negative Pressure Wound Therapy, Postoperative Wound InfectionArmsPostoperative Negative Pressure Wound Therapy KCI NANOVA
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 5 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

M Wierdak2nd Department of General Surgery, Jagiellonian University Medical College, Jakubowskiego 2 Str., 30-688, Krakow, Poland.
M Pisarska-Adamczyk2nd Department of General Surgery, Jagiellonian University Medical College, Jakubowskiego 2 Str., 30-688, Krakow, Poland.
M Wysocki2nd Department of General Surgery, Jagiellonian University Medical College, Jakubowskiego 2 Str., 30-688, Krakow, Poland. m.wysocki@doctoral.uj.edu.pl.ORCID 0000-0002-2468-1117
P Major2nd Department of General Surgery, Jagiellonian University Medical College, Jakubowskiego 2 Str., 30-688, Krakow, Poland.
K Kołodziejska2nd Department of General Surgery, Jagiellonian University Medical College, Jakubowskiego 2 Str., 30-688, Krakow, Poland.
M Nowakowski2nd Department of General Surgery, Jagiellonian University Medical College, Jakubowskiego 2 Str., 30-688, Krakow, Poland.
T Vongsurbchart2nd Department of General Surgery, Jagiellonian University Medical College, Jakubowskiego 2 Str., 30-688, Krakow, Poland.
M Pędziwiatr2nd Department of General Surgery, Jagiellonian University Medical College, Jakubowskiego 2 Str., 30-688, Krakow, Poland.
Jagiellonian University · PL

Funding

Uniwersytet Jagielloński Collegium Medicum University own funds
6 · The paper itself

Abstract

backgroundThe aim of this study was to assess the usefulness of protective negative-pressure wound therapy (NPWT) in the reduction of wound healing complications (WHC) and surgical site infections (SSI) after diverting ileostomy closure in patients who underwent surgery for colorectal cancer.

methodsIn this prospective randomized clinical trial in a tertiary academic surgical center, patients who had colorectal cancer surgery with protective loop ileostomy and were scheduled to undergo ileostomy closure with primary wound closure from January 2016 to December 2018 were randomized to be treated with or without NPWT. The primary endpoint was the incidence of WHC. Secondary endpoints were incidence of SSI, length of postoperative hospital stay (LOS), and length of complete wound healing (CWH) time.

resultsWe enrolled 35 patients NPWT (24 males [68.6%]; mean age 61.6 ± 11.3 years), with NPWT and 36 patients (20 males [55.6%]; mean age 62.4 ± 11.3 years) with only primary wound closure (control group). WHC was observed in 11 patients (30.6%) in the control group and 3 (8.57%) in the NPWT group (p = 0.020). Patients in the NPWT group had a significantly lower incidence of SSI (2 [5.71%] vs. 8 [22.2%] in the control group; p = 0.046) as well as significantly shorter median CWH (7 [7-7] days vs. 7 [7-15.5] days, p = 0.030). There was no difference in median LOS between groups (3 [2.5-5] days in the control group vs. 4 [2-4] days in the NPWT group; p = 0.072).

conclusionsProphylactic postoperative NPWT after diverting ileostomy closure in colorectal cancer patients reduces the incidence of WRC and SSI. CLINICAL

trial registrationclinicaltrials.gov (NCT04088162).

Indexed as

Colorectal NeoplasmsNegative-Pressure Wound TherapyAgedHumansIleostomyMaleMiddle AgedProspective StudiesSurgical Wound InfectionWound HealingColorectal cancer operationIleostomy closurePrevention of wound-related complicationsProphylactic negative pressure wound therapyRandomized controlled trial

Identifiers

PMID33161523
PMCPMC7884579
OpenAlexW3095719954

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.